Maternal Newborn ATI, Maternal Newborn Proctor
ATI EXAM Questions and Answers Graded A+
diagphragm - ✔✔✔inserted up to 6 hours before and stay in 6 hours after refitted every 2 years
DIC risk factors - ✔✔✔abruptio placenta
AFE
missed abortion
fetal death in utero
Severe preeclampsia or eclampsia (GHTN)
Septicemia
cardiopulmonary arrest
hemorrhage
hydatiform mole
Discontinue oxytocin if: - ✔✔✔contraction frequency more often than every 2 mins
contraction duration longer than 90 seconds
no relaxation of uterus between contractions
uterine resting tone greater than 20 mmHg between ctx
Dystocia - ✔✔✔prolonged, difficult labor
early decel causes - ✔✔✔fetal head compression
Early decels mean: - ✔✔✔Compression of the fetal head resulting from uterine contraction
Vaginal exam
Fundal pressure
Eclampsia - ✔✔✔seizure or coma onset
Ectopic pregnancy - ✔✔✔referred shoulder pain
IUD usage history
stabbing pain and tenderness in lower abdominal quadrant
HCG rules out ectopic if elevated
Encourage women who are lactating to add an additional ___ calories/day to their prepregnancy diet.
- ✔✔✔500
erthromycin - ✔✔✔administered for infant to prevent gonorrhea and chlamydia
erythema toxicum - ✔✔✔pink rash that appears suddenly anywhere on the body of a term newborn
during the first 3 weeks.
ESR - ✔✔✔0-20
expected range for weight - ✔✔✔2.5-4 kg
expected reference range for newborn's length - ✔✔✔45-55 cm
Fetal bradycardia means (less than 60) - ✔✔✔Uteroplacental insufficiency
Umbilical cord prolapse
Maternal hypotension
Prolonged umbilical cord compression
Fetal congenital heart block
Anesthetic meds
, Fetal descent and cervical dilation are caused by - ✔✔✔Frequency, duration, and strength of
contractions
fetal movement - ✔✔✔less than 3 per hour or movements cease for 12 hours needs further eval
usually it's 2-3 times a day for 2 hours after meals or bedtime
Fetal tachycardia means: - ✔✔✔Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
FHR - ✔✔✔110-160
FHR can be heard by Doppler at: - ✔✔✔10-12 weeks GA
FHR variables - ✔✔✔2 means good scoring is 0-2
First degree laceration extends through: - ✔✔✔skin of perineum
First stage of labor: - ✔✔✔1-1.5 cm (onset of labor)
First stage pain: - ✔✔✔internal visceral
may be felt as back/leg pain
folic acid intake for pregnant women - ✔✔✔600 mg
Foods high in folic acid are: - ✔✔✔Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
For breast engorgement: - ✔✔✔apply cool compresses b/t feedings
apply warm compresses
take warm shower b4 breast feeding
Fourth degree laceration extends through: - ✔✔✔skin of perineum
muscles of perineum
anal sphincter
anterior rectal wall
Fourth stage: - ✔✔✔Maternal stabilization of vital signs
fundus at 12 hr postpartum? - ✔✔✔1 cm above umbilicus
GBS can be tested when? - ✔✔✔35-37 week GA
GBS testing - ✔✔✔35-27 weeks gest
Gonorrhea S&S - ✔✔✔Urethral discharge
Painful urination
Frequency
Yellowish-green vag discharge
Reddended vulava & vag walls
ATI EXAM Questions and Answers Graded A+
diagphragm - ✔✔✔inserted up to 6 hours before and stay in 6 hours after refitted every 2 years
DIC risk factors - ✔✔✔abruptio placenta
AFE
missed abortion
fetal death in utero
Severe preeclampsia or eclampsia (GHTN)
Septicemia
cardiopulmonary arrest
hemorrhage
hydatiform mole
Discontinue oxytocin if: - ✔✔✔contraction frequency more often than every 2 mins
contraction duration longer than 90 seconds
no relaxation of uterus between contractions
uterine resting tone greater than 20 mmHg between ctx
Dystocia - ✔✔✔prolonged, difficult labor
early decel causes - ✔✔✔fetal head compression
Early decels mean: - ✔✔✔Compression of the fetal head resulting from uterine contraction
Vaginal exam
Fundal pressure
Eclampsia - ✔✔✔seizure or coma onset
Ectopic pregnancy - ✔✔✔referred shoulder pain
IUD usage history
stabbing pain and tenderness in lower abdominal quadrant
HCG rules out ectopic if elevated
Encourage women who are lactating to add an additional ___ calories/day to their prepregnancy diet.
- ✔✔✔500
erthromycin - ✔✔✔administered for infant to prevent gonorrhea and chlamydia
erythema toxicum - ✔✔✔pink rash that appears suddenly anywhere on the body of a term newborn
during the first 3 weeks.
ESR - ✔✔✔0-20
expected range for weight - ✔✔✔2.5-4 kg
expected reference range for newborn's length - ✔✔✔45-55 cm
Fetal bradycardia means (less than 60) - ✔✔✔Uteroplacental insufficiency
Umbilical cord prolapse
Maternal hypotension
Prolonged umbilical cord compression
Fetal congenital heart block
Anesthetic meds
, Fetal descent and cervical dilation are caused by - ✔✔✔Frequency, duration, and strength of
contractions
fetal movement - ✔✔✔less than 3 per hour or movements cease for 12 hours needs further eval
usually it's 2-3 times a day for 2 hours after meals or bedtime
Fetal tachycardia means: - ✔✔✔Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
FHR - ✔✔✔110-160
FHR can be heard by Doppler at: - ✔✔✔10-12 weeks GA
FHR variables - ✔✔✔2 means good scoring is 0-2
First degree laceration extends through: - ✔✔✔skin of perineum
First stage of labor: - ✔✔✔1-1.5 cm (onset of labor)
First stage pain: - ✔✔✔internal visceral
may be felt as back/leg pain
folic acid intake for pregnant women - ✔✔✔600 mg
Foods high in folic acid are: - ✔✔✔Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
For breast engorgement: - ✔✔✔apply cool compresses b/t feedings
apply warm compresses
take warm shower b4 breast feeding
Fourth degree laceration extends through: - ✔✔✔skin of perineum
muscles of perineum
anal sphincter
anterior rectal wall
Fourth stage: - ✔✔✔Maternal stabilization of vital signs
fundus at 12 hr postpartum? - ✔✔✔1 cm above umbilicus
GBS can be tested when? - ✔✔✔35-37 week GA
GBS testing - ✔✔✔35-27 weeks gest
Gonorrhea S&S - ✔✔✔Urethral discharge
Painful urination
Frequency
Yellowish-green vag discharge
Reddended vulava & vag walls